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Texas rates for HCPCS J1790

Injection, droperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $15.02 / $64.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $7.63 / $8.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $4.21 / $8.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $6.69 / $6.69
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $6.16 / $55.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $17.80 / $17.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.20 / $7.63 / $7.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $48.89 / $57.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $5.36 / $11.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.78 / $12.59
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $7.75 / $27.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $7.63 / $11.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $11.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.63 / $10.68